Barts Health Whipps Cross Hospital Individual Placement Description

Transcription

1 Barts Health Whipps Cross Hospital Individual Placement Description Placement FY2 Paediatrics The department The Dept of Paediatrics comprises 11 Consultant Paediatricians of whom all do acute General Paediatric and neonatal on-call. Their interests are as follows Dr. Maria O Callaghan. Sub-specialty Interest in Respiratory Medicine and Infectious Disease Dr. Nic Wilson. Named doctor Safeguarding Children Sub-specialty Interest in Neonatology Dr. Andrea Leigh Sub-specialty Interest in Haematology Oncology, Dr. Paramita Cifelli Sub-specialty Interest in Endocrinology Diabetes adolescent lead Dr. John Ho Sub-specialty Interest in Rheumatology/ Neonatology/undergraduate education Dr. Caroline Sullivan Sub-specialty Interest in Neonatology/Neonatal lead Dr Julia Thomson Sub-specialty interest in accident and emergency/cardiology/clinical lead Acorn Dr. Su Li (currently on career break) Sub-specialty interest in accident and emergency Dr. Vani Penumala Sub specialty interest Neonatology, RCPCH Tutor Dr. Prab Kalaivanan Sub specialty interest Diabetes and endocrinology Dr. Alistair Yim (Locum Consultant) Dr. Hla Thu (replacing Dr.Li) Sub specialty interest Neonates The type of work to expect and learning opportunities All Paediatric and neonatal pathology is represented The department serves Waltham Forest + neighbouring PCT with a catchment population of 50,000. children The department is closely linked with tertiary services in Great Ormond street and the Royal London Hospital. There are also good links with UCLH, The Brompton hospital and Kings College Hospital. All F2 Doctors in paediatrics will generally be ward based (Acorn, NNU or postnatal ward) during the normal working day and expected to assist with the daily medical care of all the patients on their ward irrespective of specialty.

2 The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the is based Whipps Cross University Hospital NHS Trust. (Acorn ward, NNU and ED) Clinical Supervisor(s) for the Are allocated by the College tutor Main duties of the The F2 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient s medical record. They will have opportunity to work with the consultants in outpatients clinics, and also take responsibility for problems arising in General Paediatrics or neonatal patients on the ward. They are expected to attend the structured teaching programmes provided by the department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical working pattern in this The FY2 participate in the full shift SHO rota along with other trainees at ST1-3 level. There are a total of 16 trainees at this level. They will rotate between general Paediatrics, neonatal Paediatrics and community Paediatrics. 9:00 Meet in NNU Seminar Room Handover between SHO on-call previous night and SHO on-call that day, Registrar and rest of Paediatric team including Consultant. This is the start of the consultant ward round. SHO on-call the previous night must ensure that notes, X-rays and blood results of patients admitted in the previous 24 hours

3 are ready for the Ward round. This SHO goes off duty at 9:30. The ward SHO will be identified at the beginning of the week, they stay on the ward round and are "in charge" of all ward tasks for the day and week. They are supported by an FY1 working 9-5. There is usually more than one SHO and the extra person will need to help in MDU with bloods and scans as requested by the MDU Sister [Polly] A+E SHO will see accepted patients as they arrive. All patients must be discussed with registrar before discharge home. It is not permitted for the SHO or SpR to suggest referral to a paediatric clinic without the child having been seen by a member of the paediatric team. E shift SHO is to start in A+E, help ward SHO if not busy. Likewise once the ward is sorted the ward SHO is expected to help in A+E especially from 5pm onwards handover The weekly teaching program consists of: Hospital Grand Round 13:00 14:00 every Tuesday (in MEC) Wednesday (NNU seminar room) Thursday afternoon 13:00 15:00 (NNU seminar room unless Simulation (Sim suite or in situ) Friday 13:00 14:00 perinatal meeting (NNU seminar room) Employer information The employer for this post is Whipps Cross University Hospital NHS Trust. The post will be based at Whipps Cross Hospital, which is a medium sized acute NHS Trust and provides an extensive range of secondary services for the growing local community of approximately 450,000. It is important to note that this description is a typical example of your and may be subject to change.

4 Appendix K Glossary of terms Placement: A structured and supervised training opportunity within a community or hospital setting lasting no less than four months and no more than six months. Rotation: A combination of s configured to deliver one year training at F1 or F2. One year stand alone rotations are offered by some schools. As an organisational unit, a programme is made up of two rotations. Some schools may refer to rotations as tracks. Foundation Programme: A two year programme for an individual trainee/doctor made up of F1 and F2 rotations. Some schools offer a full two year integrated programme and others which allocate to F1 and F2 as two separate processes.

5 Whipps Cross University Hospital Barts Health NHS Trust Individual Placement Description Placement FY1/FY2 Acute Medicine The Department The Department of Acute Medicine comprises 9 Consultants of whom 3 are Rheumatologists, 3 are Nephrologists, 2 are Endocrinologists and 1 has an interest in Cardiology. All of the consultants are involved in acute unselected general medical on call. The department also has a dedicated acute medicine SpR and 2 rheumatology SpRs who work with a team of 9 SHOs and 2 FY1s. The department serves a diverse local population of East London with a catchment of over 350,000 people from Waltham Forest, Redbridge, Epping Forest and further afield. It has close links with tertiary cardiology services at St Bartholomew s Hospital and with the Hyperacute Stroke Unit at The Royal London Hospital. The type of work to expect and learning opportunities All F1/F2 doctors are ward based and are expected to attend daily consultant led ward rounds and work within the team to deliver the daily ongoing medical care to all patients on their ward. Whilst on call, the F1/F2 will be involved with the generic clerking of acute unselected medical patients and will subsequently be involved with their ongoing care. They will also have to provide emergency medical ward cover. The overall educational objectives of the F1/F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers

6 Where the is based Clinical Supervisor(s) for the Main duties of the Whipps Cross University Hospital Acute Assessment Unit (AAU) Acute Medical Consultants The F1/F2 doctor is responsible with other staff for patients admitted to the acute medical wards and deal with problems arising in these patients under the close supervision of senior doctors. Daily duties include attending consultant led wards rounds and multidisciplinary boardrounds, organising investigations, maintaining accurate patient medical records and performing venous thromboembolism and delirium score assessments for all acute admissions. They will have the opportunity to learn practical procedures and to attend out-patient clinics on at least 6 occasions over 4 months in a specialty of their choice and interest. They should aim to complete an audit during their in acute medicine. They are expected to attend various teaching programmes including the weekly F1/F2 lecture based teaching, weekly clinical skills teaching where practical procedures and simulation teaching for acute medical emergencies are taught, weekly acute medicine and rheumatology departmental teaching and the hospital grand round. Typical working pattern in this Daily: or Consultant ward round/ daily duties Other: Tues: Weds: Thurs: Fri: Grand Round Formal F1/F2 Teaching Simulation Teaching Departmental Teaching X-Ray Meeting On call requirements: Whipps Cross Hospital currently has 41 Foundation Year One (FY1) trainee doctors working in Specialist Medicine and Surgical specialities as well as one FY1 doctor assigned to Obs & Gynae speciality. Out of 41 FY1 doctors, 31 doctors work on oncall rotas at any one rotation of 4 months. The other ten doctors do not receive banding as they only work during standard hours - Respiratory, Stroke/Cardiology, Psychiatry, Gastroenterology, ITU Anaesthetics, Paediatrics, DMEP and 2month of Urology rotas are un-banded as FY1

7 doctors work 40 hours per week. On current surgical rota, 12 FY1 doctors work 46:41 per week each. Two doctors from 16 FY1 doctors work long day shifts from 08:00 a.m. to 9:00p.m. during week days as well as weekends. FY2 - Intensity of their on call commitments depends on number of doctors on the on call rota. The Trust has three shift patterns of standard day from 08:00 am to 17:00, Long Day shift starts at 08:00 to 20:30 and night shift 20:30 p.m. to 08:30 a.m. across the SHO grade doctors. Employer information The employer for this post is Barts Health NHS Trust The post will be based at Whipps Cross University Hospital, which is a medium sized acute NHS Trust and provides an extensive range of secondary services for the growing local community of approximately 280,000. About 25% of the population is over 65. In the summer months the population increases by up to 100,000 visitors. It is important to note that this description is a typical example of your and may be subject to change.

8 Glossary of terms Placement A structured and supervised training opportunity within a community or hospital setting, lasting no less than four months and no more than six months. Rotation A combination of s configured to deliver one year training at F1 or F2. One year stand alone rotations are offered by some schools. As an organisational unit, a programme is made up of two rotations. Some schools may refer to rotations as tracks. Foundation Programme: A two year programme for an individual trainee/doctor made up of F1 and F2 rotations. Some schools offer a full two year integrated programme and others which allocate to F1 and F2 as two separate processes.

9 Whipps Cross University Hospital NHS Trust Individual Placement Description Placement The department FY2 Urology The Whipps Cross Department of Urology consists of: 5 Consultants 1 Associate Specialist 2 ST 4-6 Registrars 1 ST3 Registrar 1 CT2 Trainee 1 FY2 Doctor 1-2 Trust Grade Doctors 4 FY1 Doctors 8 Specialist Nurses 1 Physician s Assistants. In addition to providing a general Urology Service for the local population, Whipps Cross is the centre for major Stone Surgery for Newham, and Barts and the London Hospitals. The type of work to expect and learning opportunities The FY1 post in Urology is generally A&E based during the day with the opportunity to attend and participate in operating sessions. Each week there is an Oncology MDT Meeting, X-ray meeting, Audit Meeting and Educational session. The trainee is expected to attend the weekly FY teaching sessions and to complete their web based assessments. In addition, there is opportunity to see and experience other aspects of the Surgical Directorate. These include: Haematuria and Prostate Clinics, Urodynamics investigations, Specialist Urooncology Clinics, Interventional Radiology Lists, ITU Ward Rounds, Colonoscopy / Endoscopy sessions and Minor Operations lists. There is a learning faculty & FY forum on a 1 to 1 basis monthly, with the education lead to assess and support career progression. The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient, especially in the emergency Identify and synthesise problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to

10 benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. Where the is based Clinical Supervisor(s) for the Main duties of the Typical working pattern in this Employer information Whipps Cross University Hospital NHS Trust Surgical Wards and within the Department of Urology. Ms Chi Li The FY2 is the lynchpin of the emergency Urology service, with an expectation to see emergency urology in all its forms. Emphasis is on history & Examination, but also emergency operating. There will be some time during the week to gain non-emergency skills. There is also an expectation to offer the FY1s support. The FY2 is on call 1 in 8 as part of the middle grade Rota, supervised by the Associate Specialist Most of the week, the post holder covers the on call bleep and is available for all emergency work. Monday afternoons are free for theatre. Tuesday am for ward round teaching, Wednesday pm for FY teaching, and Friday PM for a half day. It is envisaged a further Thursday AM will be freed when a new member of staff starts, for either Clinic or theatre time. The employer for this post is Barts Health NHS Trust The post will be based at Whipps Cross Hospital, which is a medium sized acute NHS Trust and provides an extensive range of secondary services for the growing local community of approximately 280,000. About 25% of the population is over 65. In the summer months the population increases by up to 100,000 visitors. It is important to note that this description is a typical example of your and may be subject to change.

11 Glossary of terms Placement A structured and supervised training opportunity within a community or hospital setting, lasting no less than four months and no more than six months. Rotation A combination of s configured to deliver one year training at F1 or F2. One year stand alone rotations are offered by some schools. As an organisational unit, a programme is made up of two rotations. Some schools may refer to rotations as tracks. Foundation Programme: A two year programme for an individual trainee/doctor made up of F1 and F2 rotations. Some schools offer a full two year integrated programme and others which allocate to F1 and F2 as two separate processes.

12 Whipps Cross University Hospital NHS Trust Individual Placement Description Placement The department The type of work to expect and learning opportunities Where the is based Clinical Supervisor(s) for the Main duties of the FY2 Obs and Gynae The department of Obstetrics & Gynaecology at Whipps Cross Hospital comprises of 12 consultants. There are specialist interest areas in fetal medicine, maternal medicine, emergency gynaecology and gynaecology oncology All FY2 Doctors in hospital posts will generally be ward based during the normal working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. Whilst in the O&G attachment the FY2 will be involved with the management of patients being admitted and also patients in outpatient and antenatal clinics and the ongoing care of the patients in the unit. They are also expected to attend theatre session where they may be requested to assist in the operations. All management plans should be discussed with a senior member of the team. The overall educational objectives of the F2 year are to provide the trainee with the knowledge, skills and attitudes to be able to Take a history and examine a patient Identify and analyse problems Prescribe safely Keep an accurate and relevant medical record Manage time and clinical priorities effectively Communicate effectively with patients, relatives and colleagues Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Cope with ethical and legal issues which occur during the management of patients with general medical problems Educate patients effectively Become life-long learners and teachers. We recommend that the FY 2 trainee complete the RCOG curriculum so it will enable not only a taster in O&G but also a career in the Speciality Whipps Cross University Hospital NHS Trust. Maternity Unit, Rowan ward, Poplar Ward, Early Pregnancy Assessment Unit, Fast track service, Plane Tree Centre, Theatres (mainly theatre 7) Ms.Thamban The FY2 doctor is responsible with other staff for the ward care of patients and the maintenance of the patient s medical record. They will have

13 Typical working pattern in this the opportunity to work with the consultants in Gynaecology outpatients clinics and in antenatal clinics. They will also be able to attend both Gynaecology and obstetrics theatre and be able to assist during operations. They are expected to attend the structured teaching programmes provided by the department. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Daily: 0800 Ward round 1200/1700/2100 Handover Mon: Maternity Day Assessment unit. Tues: 1400 Gyne Out patients clinic/antenatal clinic Wed: Foundation teaching Thurs: 1100 Gyne Outpatients Fri: departmental teaching program /Ward cover Sat: in 5/6 (Gynaecology on call ) Sun: in 5/6 (Gynaecology on call ) Employer information On call requirements: 1 in 5 with flexible twilight shifts and night on call on the SHO rota which is an excellent learning opportunity. The employer for this post is Barts Health NHS Trust The post will be based at Whipps Cross Hospital, which is a medium sized acute NHS Trust and provides an extensive range of secondary services for the growing local community of approximately 280,000. About 25% of the population is over 65. In the summer months the population increases by up to 100,000 visitors. It is important to note that this description is a typical example of your and may be subject to change.

14 Appendix K Glossary of terms Placement A structured and supervised training opportunity within a community or hospital setting, lasting no less than four months and no more than six months. Rotation A combination of s configured to deliver one year training at F1 or F2. One year stand alone rotations are offered by some schools. As an organisational unit, a programme is made up of two rotations. Some schools may refer to rotations as tracks. Foundation Programme: A two year programme for an individual trainee/doctor made up of F1 and F2 rotations. Some schools offer a full two year integrated programme and others which allocate to F1 and F2 as two separate processes.